HomeMy WebLinkAboutPermit Plumbing 1999-4-2
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JOB NUMBER
225 Fifth Street
Springfield, Oregon 97477
V~Ntr.,...
TAX ~T: ...i:L'-Ic. 00
ASSESSORS MAP'
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LOT'
BLOCI<'
SUBOIVISION'
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qWNER'
ADDRESS:
PHONE:
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ZIP:_Q7 C(7 Y
STATF' .
CITY:
DESCRIBE WORI<'
NEW
REMODEL
ADDITION
DEMOLISH
OTHER
CONST.
CONTRAcroR #
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CONTRAcroR'S NAME
G~
EXPIRES ~ PHONE
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ADDRESS
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GENERA' '
PLUMBING:
MECHANICAl'
ELECfRICA' '
- OFFICE USE -
QUAD AREA'
LAND USF'
FLOOD PLAIN'
. OF BLDGS:
# OF UNIT::;' .' .._...~
ATTENTION:Oregon law (t,qu.. -- '_., :.
'_ _ adoptECONSTR.Cl'YFie:n Utility
,v"vn ',u,-,C' t Th';~e rules are set fortn
Notificallon en er, HEAT SOURGE: ^':'> ML
in OAR 952-001-001umroay" "'M" --- -.
-r'd(; ",.. ,,"ay obt,8ANP';"~ of the rules by
vv ""':.: ..,...~.~._ _.......",.. H\lntQo the teleohone
.......... '-=:II -:. - . : _ I ,.ir." Notification
To request an Inspection, )'QU1''iwst:caI1112613769,r'llifs 'is a 24 tiour recording, All Inspections requested before 7:00 a,m, will be
made the same working d~Y:'lnsPt!cJtonBireQuens'te'li?;fl~';!7~O'o a.m. will be made the following work day.
ZONING CODE:
OCCY GROUP:
. OF BDRMS'
. OF STORIES:
SECONllARY HEAT:
WATER HEATER:
SQUARE FOOTAGE:
REQUIRED INSPECTIONS
o Temporary Electric
o Rough Mechanical - Prior to
cover.
o Final Plumbing - When all
plumbing Work Is complel,e,
D Site Inspection - To be mado
after excavation. but prior to
setting forms.
D Rough Electrical - Prior to
cover.
D Final Electrical - When all
electrical work Is complete.
o Underslab Plumblng/Electrlcall
Mechanical - Prior to cover.
D Final Mechonlcal '- When 011
mechanical work Is complete.
o Electrical Service - Must be
approved to obtain permanent
electrical power,
o Footing - After trenches are
excavated.
o Flnol Building - When 011
requl red Inspections have been
approved and building Is
completed,
o Fireplace - Prior to facing
materials and framing Insp.
o Mesonry - Steel location, bond
beams, grouting,
o Framing - Prior to cover.
o Other
O Foundation - Alter lorms are
erected but prior to concrete
placemont.
o Wail/Ceiling Insulation - Prior to
cover.
O UndergfOund Plumbing - Prior
to filling' trench,
o Drywall - Prior to taping,
MOBILE HOME INSPECTIONS
D Undlrlloor P1umblng/Mlohlnloll
- Prior to Inaulatlon or decking,
O POll Ind SOIm - Prior to floor
'nlurltlon or dloklng,
o Wood Stovo - Aftor Installotlon.
o Blocking and Sel.Up - When all
blocklnllls complete,
o Inllrl - After fireplace approver
and Installation of unit,
O Floor Insulation - Prior to
decking.
b ~ltary Sewer - Prior to filling
~~Ch.
o Plumbing Connections - When
home has been connected to
water and sewer.
o Curbcut & Approach - After
forms are erected but prior to
placement of concrete.
o Electrical Connection - When
blocking. set.up. and plumbing
Inspections have been approved
and the home Is connected to
the service panel,
o Sidewalk & Driveway - After
excavation Is complete, forms
and sub-base material In place.
o Storm Sewer - Prior to filling
trench.
c-'D~ ater Line - Prior to filling
~ench. ,
o Fence - Wnen cor.1pleted.
o Final - After all required
Inspections are approved and
porchos, skirting, decks, and
venting have been Installed.
D' Rough Plumbing - Prior to
cover.
D Street Trees - When all. required
trees are planted.
Lot faces
Lot sq, ltg,
Lot coverage
Topography
Total height
BUILDINQ PERMIT
ITEM SO. FT.
Main
Garage
Carporl
Total Value
Building Permit Fee
State Surcharge
Total Fee
LotlY.
Inlerlor
Corner
Panhandle \
Cul-de-sac
't
X $/50. FT. .
(A)
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'I'; : ;:~ ": .
.,S THEPROPOS~D WORK IN THE,
'''HISTORICAL DISTRICT, OR ON
THE HISTORICAL REGISTER?
If yes, this appllcallon must be signed
and approved by the Historical
Coordinator prior to permit Issuance.
Setbacks
I PL. HSE GAR
-'1.____
S
Accl
I
I
IE
_V:!.___ ____
APPROVEr,.
VALUE
"
SYSTEMS DEVELOPMENT CHARGE (SDC)
(B)
PLUMBING PERMIT
ITEM
Fixtures
Resldenllal Bath(s) N'
Sanitary S!3wer FT. 1<10
Water FT. /50
Storm Sewer FT.
Mobile Home
Plumbing Permit
State Surcharge
TOlal Charge
MECHANICAL PERMIT
Furnace
Exhaust Hood
Vent Fan
(C)
Dryer Vent
Wood Stove/lnsert/Flreptace Unit
N'
Mechanical Permit
Issuance
State Surcharge
Total Permit
(D)
MISCELLANEOUS PERMITS
Mobile Home
State Issuance
State Surcharge
Sidewalk
It
It
Curbcul
Demollllon
State Surcharge
Tolal Miscellaneous Permlls (E)
TOTAL AMOUNT DU!' (excluding electrical)
(A. B, Co D, and E Combined)
FEE
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?' 6. .(0
BUILDINQ VALOE, PLAN CHECK
AND BUILDING PERMIT
This permit Is granted on the express condition that the saId
construction shall, In all respects, conform to the Ordlnsnce
adopted by the City ,of Springfield, Including the
Development Code, regulallng the construcllon and use of
"ulldlngs, and may be suspended or revoked at any time
upon vlolallon of any provisions of said ordinances,
Plan Check Fee:
Date Paid:
Receipt Number'
Received By:
Plans Rcvlewod By
Date
Systems Development Charge Is due on all undeveloped
properties within the City limits which are being Improved.
ADDITIONAL COMMENTS
By signature, I state and agree, that I have carefully examined
the completed application and do hereby certify that all
Information hereon Is true and correct, and I further certify
that any and all work performed shall be done In accordance
with the Ordinances of Ihe City ot Springfield, and the Laws
of the State of Oregon pertaining to tho work described
herein, and that NO OCCUPANCY will be made of any
structure without permission of the Building Safety Division.
I further certify that only contractors and employees who
are In compliance with ORS 701.055 will be used on this
project.
I further agree to ensure that all required Inspections are
requested at the proper time. that each address Is readable
from the street, that the permit card Is located at the front
of the property. and the approved set of plans will remain
on the site at all times during construction.
s,gnatur~7 ~--~
Oatp
VALIDATION: (
RECEIPT NUMBER /) J J J 7 r
DATE PAID -cj~'1
AMOUNT RECEIVED /l &- h- L( DIJ
RECEIVED BY, 'd tJ CA..-/